Provider Demographics
NPI:1972912640
Name:CANTU, CHRISTOPHER-ANDREW (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER-ANDREW
Middle Name:
Last Name:CANTU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E HOSPITAL ST
Mailing Address - Street 2:
Mailing Address - City:SAN AUGUSTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75972-2123
Mailing Address - Country:US
Mailing Address - Phone:936-275-5287
Mailing Address - Fax:936-275-1024
Practice Address - Street 1:600 E HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:SAN AUGUSTINE
Practice Address - State:TX
Practice Address - Zip Code:75972-2123
Practice Address - Country:US
Practice Address - Phone:936-275-5287
Practice Address - Fax:936-275-1024
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor